Dr Deborah Lee Ebert Grommet, DC is a medicare enrolled "Chiropractor" provider in Herculaneum, Missouri. Her current practice location is
1055 Commercial Blvd, Herculaneum, Missouri. You can reach out to her office (for appointments etc.) via phone at
(636) 475-4477.
Dr Deborah Lee Ebert Grommet is licensed to practice in Missouri (license number 005254) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1528002169.
Healthcare Provider's Profile
Full Name | Dr Deborah Lee Ebert Grommet |
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Gender | Female |
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Speciality | Chiropractor |
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Location | 1055 Commercial Blvd, Herculaneum, Missouri |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1528002169
- Provider Enumeration Date: 06/15/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 8426051483
- Enrollment ID: I20060811000001
Medical Identifiers
Medical identifiers for Dr Deborah Lee Ebert Grommet such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1528002169 | NPI | - | NPPES |
5944 | Other | MO | BC BS |
1830285 | Other | MO | TAX ID NUMBER |
4406400 | Other | MO | UNITED HEALTH CARE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
111N00000X | Chiropractor | 005254 (Missouri) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Deborah Lee Ebert Grommet is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Deborah Lee Ebert Grommet, DC 1055 Commercial Blvd, Herculaneum, MO 63048-1415 Ph: (636) 475-4477 | Dr Deborah Lee Ebert Grommet, DC 1055 Commercial Blvd, Herculaneum, MO 63048-1415 Ph: (636) 475-4477 |
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